In planning treatment of a prosthetic-implant patient, to obtain a propitious prognosis of a long term rehabilitation, a multi-discipline approach is elementary. However, in some cases, despite the commitment to realize an ideal treatment plan, it may happen to face up with an inadequate space when prosthetic procedures start. Such a likelihood may be due to an occlusive stability lack, erroneously not corrected at the beginning of the treatment, or to the limited compliance of the patient who often…

COMPLEX MULTIDISCIPLINARY IMPLANT-ORTHODONTIC TREATMENT: ESTHETIC INVISIBLE ORTHODONTIC THERAPY COMBINED WITH IMPLANT SURGERY AND SIMULTANEOUS BONE AUGMENTATION The present case report is aimed at presenting an implant treatment associated with both a simultaneous guided bone regeneration (GBR) and an orthodontic therapy. The complexity of the case required the use of a resorbable Bio-Gide membrane and a bone graft made up of autogenous bone together with Bio-Oss. Simultaneously, an esthetic orthodontic therapy was performed by means of ceramic brackets and…

PROSTHETIC REHABILITATION IN THE ANTERIOR SECTORS WITH HIGH AESTHETIC IMPACT: CLINICAL CASE STUDY This report describes a case of a 28 year-old male patient who complained of aesthetic discomfort due to composite resin restorations in regions 11 and 21. They were fractured and structurally compromised too. Furthermore, the patient felt abnormal occlusal contact during the movement of the mandibular protrusion. Radiographic examination through endoral radiography showed evidence of infiltration of restorations (Fig 1). After discussing with the patient the…

STRAUMANN BONE LEVEL SUBMERGED IMPLANTS TREATED USING A NON-SUBMERGED IMPLANT TECHNIQUE: CLINICAL CASE OF AGENESIS OF TWO LATERAL INCISORS. SURGICAL PHASE OF THERAPY Prosthetic part The prevalence of both unilateral and bilateral agenesis of the maxillary lateral incisors is remarkable in dentistry (1). The proper treatment of such a condition requires a multidisciplinary approach and the use of a diagnostic wax up is paramount. The first step of the rehabilitation consists of a pre-surgical orthodontic treatment to harmonically distribute and…

In recent years, the increase in the number of adults seeking orthodontic treatment has led to the development of ever more cosmetic therapies. Ceramic brackets, arches and cosmetic appliances are becoming more frequently employed in orthodontic treatment procedures. Nowadays, there are techniques to bring the tooth elements into proper alignment through the use of transparent masks, but this technique can be employed only in a limited number of malocclusions. All the devices listed help orthodontics to become less invisible…

Bisphosphonate therapy and the manifestation of a rare and severe complication, namely the osteonecrosis of the maxillary bone, are currently very important topics to which increasing attention is being given by specialists. The dental surgeon’s awareness and concern toward this pathology, together with a degree of alarmism, is justified by the increasing number of cases that since 2003 till today have enabled observing and studying the clinical and anatomo-pathologic case history, the localization of the pathology, the associated risks…

When the Italian soccer team plays a game, everyone, even who does not know anything about sport, becomes a soccer supporter: the day after the match, you can not go to the bar without knowing the result so you can discuss it with friends and colleagues! In the last few years, we have seen a similar phenomenon in the field of all-ceramic prostheses: everyone’s talking about them, everyone uses them, everyone claims to be experienced with them, even if they…

The use of micro-screws in orthodontic anchorage is becoming more and more frequent in both vestibular and lingual techniques with brackets, and in more aesthetic and comfortable techniques without brackets. Micro-screw insertion should be considered a surgical procedure as erroneous handling of the bone can easily lead to an inflammatory reaction around the screws and incorrect positioning can lead to their loosening. Thus, in an attempt to make things clearer and to answer questions we have been asked by…

INTRODUCTION The use of removable dentures stabilized by osseointegrated implants may improve the quality of life of edentulous patients. Overdentures (OVD) are removable dental prostheses that cover and rest on one or more remaining natural teeth, the roots of natural teeth and/or dental implants improving stability and reducing ridge resorption. Such implant-supported prostheses represent a compromise solution between the advantages of fixed prostheses and traditional complete removable dentures in totally edentulous patients. In scientific literature good adaptability was reported in…

On examination, the patient revealed the following clinical evaluation (fig.1-7): Class I both molar right and left, Class I canine in the left side and canine to canine in the right side. Provisional bridge that involves the elements 12, 11 and 22 because of loss of the element 21 due to trauma Crowding in the lower arch OVB of 5mm, OVJ of 2 mm Periodontal health with absence of tooth pockets Different type of abrasion of the inferior canines. On…

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